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The Field Reimbursement Manager will be responsible for the management of defined accounts in Urology and Oncology area, specifically supporting our client’s product. The Field Reimbursement Manager will execute the collaborative territory strategic plan through partnership with internal and external stakeholders, including acting as an extension of patient support program and in other collaboration with other partners.
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The Reimbursement Manager will also work on patient level reimbursement issue resolution, and thus will need access to be knowledge of and have had experience with patient health information (PHI), navigating access issues, and working with payer and NCCN guidelines for product utilization.
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The Reimbursement Quality Audit & Documentation Specialist will work closely with the Reimbursement QA Supervisor to perform quality assurance activities with the focus on monitoring and improving reimbursement collection efforts.
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Job Purpose:Access & Reimbursement Manager, CV is a remote/field-based role that covers the following states but not limited to Bethesda MD, Arlington VA, Richmond VA, Hampton VA, Chesapeake VA, Virginia Beach VA. Candidate must reside within territory, or within a reasonable daily commuting distance of 60 miles from territory border.
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The Field Reimbursement Manager (FRM) proactively provides education and support on product access programs for physicians and their staff. Your ability to clear the way, extrapolate intricate details, attend to complex situations and serve as a trusted go-between make you a perfect fit for a Field Reimbursement Manager role at Syneos Health.
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Additionally, the FRM will analyze reimbursement and access issues and act as the local access and reimbursement resource for other field sales force personnel and region management. The FRM will educate and support the integration of the product into physician offices as well as provide support on reimbursement related processes and issues, as needed.
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As an integral member of the Business Office the Insurance Reimbursement Specialist works in a team environment to interpret and evaluate appeals to include denials management, insurance follow-up with payers and insurance providers to assure timely turn around for claims resolution and reimbursement.
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The Revenue Cycle Reimbursement Specialist provides Revenue Cycle Management/Medical Billing services for Azalea clients and operates under the direct supervision of the Revenue Cycle Reimbursement Team Lead.
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As a key member of the Revenue Cycle Team, the Prior Authorization and Payer Reimbursement Specialist (PAPR) at the CU Hemophilia and Thrombosis Center (HTC) is tasked with obtaining claim authorizations from payers for outpatient services and physician administered drugs while ensuring compliance with reimbursement requirements.
$76,517 - $97,330 a yearFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Provide billing and compliance support within the Division of Radiation Oncology to include; compliance and charge capture, referral/medical necessity, denial management/data collection and follow up, and project management.
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Support patient access assistance from prescriber decision through to fulfillment, supporting the entire Reimbursement journey through payer prior authorization to appeals/denials requirements procedures and forms.
$155,000 - $165,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Must have general payer policy knowledge including public & private payers, foundational knowledge of benefit verifications & prior authorization/pre-determination requirements (including appeals/exceptions), & knowledge of access & reimbursement processes within various sites of care.
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Provide in-person or virtual one-on-one support to address questions about coding, coverage, reimbursement, and patient support requirements. Responsibilities include ensuring understanding and communicating Reimbursement, access, and program support program as it relates to the product.
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Comfortable working and communicating NCCN guidance including covering category 2B off-label recommendations for determination of Medicare reimbursement eligibility. By joining one of our field access teams, you will partner with industry experts and be empowered to succeed with the support, resources, and autonomy needed to successfully navigate the complex reimbursement landscape.
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Field Reimbursement Managers manage daily activities that support appropriate patient Reimbursement to our client's products in the provider offices and work as a liaison to other patient support programs offered by our client.
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Title: reimbursement Company: Wrb Communications
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